Psychotherapy and Clinical Supervision in Reading and online
This page brings together articles and reflections arising from clinical practice, ongoing study and the questions that continue to shape how I think about psychotherapy.
Some explore trauma, regulation, neurodiversity, neurofeedback, relational patterns and the process of therapeutic change. Others consider broader questions about adaptation, suffering, connection, responsibility, and what therapy may—and may not—be able to offer.
The aim is not to provide treatment advice or simple answers. These reflections offer a place to think more deeply about psychological experience and the ideas that inform my work.
If you are considering therapy and would prefer a practical starting point:
ILF neurofeedback is sometimes explored when anxiety, poor sleep, overwhelm, or chronic nervous-system reactivity do not shift easily through understanding alone. This article explains in everyday language what ILF neurofeedback is, what it may help with, and how it can fit alongside psychotherapy.
Read MoreSome people seem articulate and capable until stress rises. Then the words disappear, thinking becomes scrambled, or the mind starts spinning. This article explores why going blank, overthinking, or losing words under stress can be a protective nervous-system response rather than a personal failing.
Read MoreThis article follows on from “Why insight alone is not always enough.” It explores what may help when understanding a pattern brings clarity, but the body and nervous system still react. It looks at preparation, pacing, trauma therapy, DBR, ILF Neurofeedback where appropriate, and the importance of the therapeutic relationship as a container for deeper work.
Read MoreFor therapy to help, it does not need to feel perfect, but it usually does need to feel safe enough. This article explores what helps create that sense of enough safety: pacing, steadiness, consent, attunement, clarity, and the possibility of rupture and repair.
Read MoreDissociation can feel confusing, frightening, or hard to explain. You may go blank, feel distant from yourself, lose time, or feel as though things are unreal. This article explains dissociation as a protective response rather than a personal failing, and outlines how therapy can approach it gently.
Read MoreSome people can describe their difficulties clearly and still feel as though something deeper is not shifting. This article explores what it can mean for therapy to include the body, nervous system, posture, tension, impulses, and protective responses as well as reflection and conversation.
Read MoreFunctional collapse can be hard to recognise because, from the outside, life may still appear to be moving. You may still be working, replying, caring for others, and appearing composed — while inside you feel numb, foggy, depleted, or shut down.
This article explores functional collapse as a protective response rather than a personal failing: when the nervous system has carried too much for too long and begins to conserve energy by reducing feeling, contact, and responsiveness.
Read MoreNot all trauma responses look like panic or agitation. Sometimes the system goes quiet, heavy, numb, foggy, or flat. This article explores what shutdown, freeze, and collapse can feel like, why they happen, and why these responses often make sense in the context of overwhelm or chronic strain.
Read MoreSome people look as though they are coping well from the outside, yet inside they are exhausted, tense, shut down, overwhelmed, or still reacting in ways they cannot fully shift. This article explores the hidden cost of high functioning, why insight and talking may not always be enough on their own, and how therapy can help.
Read MoreWondering what happens in Deep Brain Reorienting? Here’s a step-by-step guide to a DBR session, including pacing, safety, and after-care.
Read MorePaolo Imbalzano · UKCP Registered Psychotherapist and Clinical Supervisor
Relational psychotherapist, neurofeedback practitioner, and clinical supervisor.
Psychotherapy and supervision are available in person and online.
Neurofeedback available in person in Reading, Berkshire.
+44 (0)7803 049039 · paolo@presentingpast.co.uk - LinkedIn
UKCP Registered Psychotherapist · UKCP Registered Clinical Supervisor
BACP Registered Member · BACP Registered Supervisor · CTA-P
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